| NPI | 1942268172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01079162A) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036121915) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0061103) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0061103) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-02-25 |